Quality Manual - KSS Deanery

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KSS HIGHER SPECIALTY TRAINING BOARDTERMS OF REFERENCERemit1. To review progress implementing the programmes which serve Higher Specialty Training (HST) inthe KSS region taking account of BSUH and its allied Medical School and Departments, BSMS(as an undergraduate and postgraduate University centre) and extending to the Surrey and KentLEPs and Academic centres.2. To provide internal scrutiny by challenging progress to ensure minimal risk to development of newand existing programmes. Actions from scrutiny should move to the emerging LETB whenappropriate.3. To provide support in overcoming challenges and helping to meet SEC / KSS HST PGMEconsultation recommendations.4. To ensure the Deanery, the Trusts, relevant Academic Institutions and other key stakeholders areall involved in the development of KSS HST Programmes.5. To ensure high quality academic input is enhanced and maintained within KSS HST Programmes.6. To ensure effective Communications are maintained with all Stakeholders7. To champion and progress KSS based Higher Specialty Training Programmes by steering thedelivery of key KSS HST priorities and objectives in negotiation with allied LETBs, AHSNsDeaneries and Schools.8. To ensure alignment in Programme development meets emergent service models and bydelivering expertise to emerging Clinical Commissioning Groups where appropriate.9. To provide guidance and liaison with other allied Lead providers and Deaneries via closecollaborative working10. To take account of National and regional policy decisions relating to PGME delivery11. To comment on future Commissioning options for PGME in the region.12. The KSS HST Board will invite and request attendance from the following colleagues:Membership –Chief Executive, Brighton and Sussex University Hospital NHS TrustChief Executive, East Kent Hospitals University NHS Foundation TrustChief Executive, Royal Surrey County Hospital NHS TrustDean Director, KSS DeaneryChief Operating Officer, KSS DeaneryDeputy Postgraduate Dean for Secondary CareDean, Brighton and Sussex Medical SchoolChief of Medicine - BSUHHead, Division of Clinical Medicine, BSMS (academic representative)Director of Medical Education, Brighton & Sussex University HospitalsDirector of Medical Education, Royal Surrey County Hospital Foundation Trust
Director of Medical Education, East Kent Hospitals University Foundation TrustAssociate Dean (particular responsibility for Brighton), KSS DeaneryHead of School of Medicine, KSS DeaneryHead of ACCS, KSS DeaneryHead of School of Emergency Medicine, KSS DeaneryHead of School of Anaesthesia, KSS DeaneryHead of School of Surgery, KSS DeaneryHead of School of Obstetrics & Gynaecology, KSS DeaneryHead of School of Radiology, KSS DeaneryHead of School of Psychiatry, KSS DeaneryHead of School of Paediatrics, KSS DeaneryHead of school of Ophthalmology KSS DeaneryHead of Medical Workforce, KSS DeaneryConsultant Haematologist (Academic Lead)Associate Director of HR (Medical Personnel & Education), Brighton & Sussex University HospitalsMEM Representative KSSAD-Academia KSSAs required: All KSS Training Programme DirectorsSpecialty Leads from BSUHSpecialty Leads from Kent based TrustsSpecialty Leads from Surrey based TrustsMeetings -Every two months
Page 1: KENT SURREY AND SUSSEX DEANERYQUALI
Page 4 and 5: 1. Quality Structure and Terms of R
Page 6 and 7: E. Headline Feedback FormK:\QUALITY
Page 8 and 9: G. Earned Autonomy Verification Rep
Page 10 and 11: Postgraduate Deanery for Kent, Surr
Page 12 and 13: KSS DEANERY QUALITY MANAGEMENT STEE
Page 14 and 15: The Deanery Board will:DEANERY BOAR
Page 16 and 17: KSS DEANERY OPERATIONAL GROUPMEMBER
Page 20 and 21: KSS TRAINEE IN DIFFICULTY COMMITTEE
Page 22 and 23: KENT SURREY & SUSSEX DEANERYGENERAL
Page 24 and 25: • To maintain and progress facult
Page 26 and 27: Lay/Patient RepresentativeBrighton
Page 28 and 29: 6. Quorum:Meeting will be quorate i
Page 30 and 31: Doc EKENT SURREY & SUSSEX DEANERYGE
Page 32 and 33: • The School will adopt new proce
Page 34 and 35: • To advise on the provision of a
Page 36 and 37: Representative members will be expe
Page 38 and 39: Decisions made by formal vote will
Page 40 and 41: Doc AConstitution/Terms of Referenc
Page 42 and 43: Constitution/Terms of Reference/Mem
Page 44 and 45: Constitution/Terms of Reference/Mem
Page 46 and 47: (updated 3 May 2012)AGREED PROPOSAL
Page 48 and 49: Kent, Surrey & Sussex DeaneryQUALIT
Page 50 and 51: Producing the KSS Deanery ReportTim
Page 52 and 53: KSS DEANERY LOCAL EDUCATION PROVIDE
Page 54 and 55: Kent, Surrey & Sussex DeaneryQUALIT
Page 56 and 57: Doc Ref: QMV-PRO-001Version 1.6Kent
Page 58 and 59: When the HoS have decided which LEP
Page 60 and 61: 8. ExternalityIn line with GMC requ
Page 62 and 63: 14. Visiting Team Pro FormaEvidence
Page 64 and 65: After receiving the verbal feedback
Page 66 and 67: All responses to mandatory requirem
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Kent, Surrey & Sussex DeaneryProces
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Last LEP Visit ReportFaculty Handbo
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Specialty 2 Name5.5.5.6.5.7.5.8.Spe
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Section 3123456Notable PracticeNote
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Areas for ImprovementDomainAreas Re
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The following recommendations are s
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Areas / Issues of ConcernActions Pl
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Areas / issues of concernIssues req
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Domain 3 - Equality, Diversity and
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Domain 7 - Management of Education
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Visiting Team ReviewAfter the sessi
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Kent, Surrey & Sussex DeaneryQUALIT
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Section 2: The VisitStrongly agreeA
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Kent, Surrey & Sussex DeaneryQUALIT
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Section 2: The VisitStrongly agreeA
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Doc Ref: QMV-FOR-001Version 1.2Huma
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QUALITY MANAGEMENT VISITOR DECLARAT
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4. STFS VISITING TEAMSMinimum Requi
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• Foundation training programme d
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Next Scheduled meeting of QMSGConsi
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Appendix ASouth Thames Foundation S
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20. How would you rate the level of
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AveragePoorNone36. GPs (if applicab
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52. Do you have easy access to a ne
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DOCUMENT CONTROLTitle:Originator:Ma
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c) Do you have appropriate middle g
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South Thames Foundation SchoolCHECK
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South Thames Foundation SchoolFOUND
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South Thames Foundation SchoolFOUND
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Appendix 1Kent, Surrey & Sussex Dea
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www.stfs.org.ukPage 3 of 2Updated:
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consistently low trainee progressio
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4. Visitor TrainingPotential future
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In developmental and exception visi
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The Visit Secretary will circulate
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Kent, Surrey & Sussex DeaneryAction
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IMPORTANT NOTE FOR GPSTRSThis proce
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A full visiting team will consist o
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APPENDIX 1Specimen Questions Visito
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APPENDIX 2Guidance for a GP Trainin
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APPENDIX 3Roles and responsibilitie
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APPENDIX 5Exception VisitsException
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1.12 If the LEP has gained Earned A
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3 Contract Review Visits3.1 The col
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7 Bermondsey StreetLondonSE1 2DDMai
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Education ContractPurposes and Scop
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21. Schedule A - Pay and Non-PaySch
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AppendicesSchedules of Funding: Sch
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7 Bermondsey StreetLondonSE1 2DDMai
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Glossary of TermsARCP Annual Review
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3 Clinical responsibilityDomain 1.2
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7 Intrepid: postgraduate doctor and
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Domain 4: Recruitment, selection an
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Domain 5: Provision of approved cur
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28 Study leave availabilityDomain 5
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d) Postgraduates should be allowed
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40 Faculty development: Job PlansDo
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Domain 7: Management of educationEd
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51 Education technologiesDomain 8.1
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58 Annual finance returnsDomain 8.1
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Educational Governance:KSS Contract
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CONTENTSGMCDomains
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Results of Action Plan 2011The KSS
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Cross-CurricularRolesNumbers Compli
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Acute Care Common StemAnaestheticsE
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posts)8 Education Centre Usage duri
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Medical Education Manager is a full
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In your narratives, you should tell
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FinanceLong-termRecurrentShort-term
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LAB Strategy Specification 2012Note
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Leadership moved very rapidly from
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form or work effectively. The 80/20
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LABStrategic DevelopmentQuality Man
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developing and utilising capacity t
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Assistant Dean Education leading on
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School Specific DevelopmentGeneral
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Please provide targets in order to:
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School of OpthalmologyLFG Establish
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Library and Knowledge Services Deve
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KSS Pharmacy Local Faculty Group An
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Domain 2Monitoring, review and eval
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Domain 5Curriculum delivery and stu
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Domain 7 Support and development fo
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Domain 10 OutcomesThere should be a
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Appendix AKSS Collective Exit Repor
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EventinvestigationIf not, please gi
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LocationInfo on likely locationsinc
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Domain 4: Recruitment, selection an
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Domain 3: Equality, Diversity and O
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57 Budgetary Accountability 58 Annu
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1. Good Practice Examples:a. LKS:b.
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KSScontractLEP ActionLOCAL ACADEMIC
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KSScontract2012 Business Analysis12
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Serious Incidents PolicyA Serious I
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Serious Incident Preliminary Notifi
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